CAJ | 학술논문

目的：分析改良局部切除术治疗十二指肠乳头肿瘤的临床价值。方法2012年9月~2014年3月在本院进行治疗的十二指肠乳头部肿瘤患者23例，按照随机数字表法分为改良手术组(12例)和常规手术组(11例)，观察分析改良手术组和常规手术组患者的手术时间、住院时间、胆瘘、胰瘘、肠瘘、术后胆胰管梗阻发生情况、术后复发、转移、术后消化功能情况。结果改良手术组患者的手术时间和住院时间均显著短于常规手术组(P<0.05)；改良手术组患者的胆瘘、胰瘘、肠瘘、胆胰管梗阻、术后复发和术后转移率均显著低于常规手术组(P<0.05)；改良手术组患者的胃排空时间显著短于常规手术组(P<0.05)，而改良手术组患者3个月体重增加显著高于常规手术组(P<0.05)。结论改良十二指肠局部切除术能够更为有效地显露患者的十二指肠乳头，降低局部切除术后并发症的发生率，改善预后。
목적：분석개량국부절제술치료십이지장유두종류적림상개치。방법2012년9월~2014년3월재본원진행치료적십이지장유두부종류환자23례，안조수궤수자표법분위개량수술조(12례)화상규수술조(11례)，관찰분석개량수술조화상규수술조환자적수술시간、주원시간、담루、이루、장루、술후담이관경조발생정황、술후복발、전이、술후소화공능정황。결과개량수술조환자적수술시간화주원시간균현저단우상규수술조(P<0.05)；개량수술조환자적담루、이루、장루、담이관경조、술후복발화술후전이솔균현저저우상규수술조(P<0.05)；개량수술조환자적위배공시간현저단우상규수술조(P<0.05)，이개량수술조환자3개월체중증가현저고우상규수술조(P<0.05)。결론개량십이지장국부절제술능구경위유효지현로환자적십이지장유두，강저국부절제술후병발증적발생솔，개선예후。
Objective To analyze the clinical value of modified local excision in the treatment of major duodenal papil-la tumor. Methods 23 major duodenal papilla tumor patients in our hospital from September 2012 to March 2013 were selected,the patients were divided into two improved surgical group (12 cases) and conventional surgery group (11 cas-es) according to the random number table method.The surgery time,hospital stay,biliary fistula,pancreatic fistula,intesti-nal fistula,binary duct obstruction,relapse after surgery,metastasis,digestive function of the two groups were observed and analyzed. Results The surgery time and hospital stay in improved surgical group were shorter than those of the conventional surgery group (P<0.05),the biliary fistula,pancreatic fistula,intestinal fistula, binary duct obstruction,relapse after surgery,metastasis and digestive function in improved surgical group were shorter than those of the conventional surgery group (P<0.05),the gastric emptying time in improved surgical group was shorter than that of the conventional surgery group,the weight gain in improved surgical group was higher than that of the conventional surgery group (P<0.05). Conclusion Modified local excision in the treatment of can expose duodenal papilla effectively,can decrease the complications and improve the prognosis.